Active NPI
James Alan Long, MD
- Dermatopathology (Pathology) Physician
- Birmingham, AL
National Provider Identifier
1114130408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- MD.25042
- Practice address
- 3512 Old Montgomery Hwy
Birmingham, AL 35209-5706 - Phone
- (205) 879-2260
- Fax
- (205) 879-2261
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | MD.25042 | AL | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | MD.25042 | AL | Primary |
Addresses
Primary practice location
3512 Old Montgomery Hwy
Birmingham, AL 35209-5706
Mailing address
1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone (615) 221-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114130408 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.25042 | AL | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Diagnostics Group PC | Dermatopathology | Current | Accepting new patients |
| Associated Pathologists LLC | Current | Accepting new patients | |
| Skin Diagnostics Group, PC | Current | Accepting new patients |
Locations
3512 Old Montgomery Hwy
Homewood, AL 35209
Phone (205) 879-2260
1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatopathology (Pathology) Physician
- Birmingham, AL
- NPI 1417280538
-
- Clinical Medical Laboratory
- Homewood, AL
- NPI 1689922668
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1114130408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 AIRPARK CENTER DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372175200",
"telephone_number": "615-221-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3512 OLD MONTGOMERY HWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352095706",
"telephone_number": "205-879-2260",
"fax_number": "205-879-2261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "JAMES",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "AL",
"license": "MD.25042",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "AL",
"license": "MD.25042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114130408",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.